ENT & Allergy Associates, LLP is dedicated to the evaluation and treatment of voice and swallowing disorders and to further the understanding of voice and swallowing through education. The team at ENT & Allergy Associates has invented or pioneered a suite of office-based diagnosis and therapeutic procedures.
FEESST, pioneered by Jonathan Aviv MD, is the state-of-the-art non-radioactive alternative to modified barium swallow studies. This exam will allow for direct assessment of the motor and sensory aspects of the swallow in order to precisely guide the dietary and behavioral management of patients with swallowing problems to decrease the probability of aspiration pneumonia.
FEESST also allows evaluation of extra-esophageal manifestations of gastro-esophageal reflux including asthma, hoarseness, laryngitis, globus, and aspiration. FEESST is a two-part test. The first part of the test assesses sensation in the larynx in order to illicit an airway protective reflex. The second part of the test involves giving food to the patient (with green food coloring mixed in) and watching/ tracking where the food travels in the throat region.
Some of the benefits of FEESST include:
- Immediate results including dietary recommendations
- Outpatient, in-office procedure
- Non-radioactive alternative to modified barium swallow studies
- Portable capabilities
Who Is a Candidate?
Candidates for a FEESST examination include:
- Recent stroke patients experiencing difficulty swallowing, throat clearing, or choking during meals
- Patients with a history of swallowing difficulty related to an underlying
diagnosis of Parkinson's Disease, CP, Multiple Sclerosis, ALS or dementia - Patients with a history of upper respiratory infections, unexplained fevers, aspiration pneumonia, or asthma
- Patients who complain of trouble swallowing liquid, food or medications
- Patients receiving nutrition via G-tube or NGT with the possibility of improved function and ability to tolerate oral feedings
- Patients with a tracheotomy who might be able to tolerate oral feedings or a
diet upgrade - Patients who report a lump-like sensation in their throat or pain upon swallowing
- Patients with a history of reflux
FEESST has proven to be an instrumental and invaluable tool for both healthcare professionals and those suffering from vocal issues like asthma, laryngitis, and hoarseness. Not only does it help provide accurate assessments of a patient’s difficulties but also allows our physicians to develop a personalized course of treatment plans tailored to their diagnosis. It can even give patients better control over managing their symptoms over time without the need for invasive surgery. All in all, its benefits make it an unparalleled resource for anyone facing such disorders.
If you are suffering from any vocal difficulty do not hesitate to contact your local office to schedule your appointment today!
Patient Stories
-
"This is the first time I visited there, my friend has referred Dr. Steven, but it's too early to judge, but I must say, Dr. Steven seems to be patient, and thorough and the other staff was very friendly and welcoming. I am hoping my son would overcome his sleep apnea problem."
- Neelam K. -
"Dr Galowitz is AMAZING! I went to her with a nut allergy and seasonal pollen allergies. I went to two other allergists before her and she was able to fix all my allergies. She ran some tests and found out that I am no longer allergic to most nuts. My other two doctors missed that. I can now eat peanuts and most tree nuts with no hesitation. She also recommended allergy shots for my seasonal allergies, which I was hesitant at first, but I’ve been on shots for two years now and haven’t looked back. For the remaining allergies I do have, they are extremely well managed by Dr. Galowitz’s care. My quality of life has significantly increased ever since I’ve seen Dr. Galowitz. I recommend everyone with allergies to go to her. Additionally, the nurses (especially Lisette and Nicky) are phenomenal. They are so fun to talk to and they ease all of my anxiety when I walk into the office. They are well trained and they know what to do. I do understand that sometimes the wait can be long and ..."
- Sagar S. -
"They had been pretty good. Not too long to wait, friendly staff."
- Julia Elisa B.
Less Sick Days, More Living
